Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Nurses will receive 0.75 contact hours for participating in this course.
DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).
Nurses will receive 0.70 contact hours for participating in this course.
Georgia Board of Nursing CE Provider #: 50-290
Nurses will receive 0.75 contact hours for participating in this course.
This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]
Outline:
Medication Relatedness Determinations and Hospice Formularies: Understanding the Essentials
Objectives
CMS Regulations regarding Medication Coverage
FY 2016 “Final Rule”
Payment Responsibility for Non-Beneficial Medications
Payment Responsibility for Non-Formulary Medications
Four Buckets of Medication “Relatedness”
Medications Always Covered
Drugs Never Covered by Part D or Hospice
Examples of Medications Usually Not Covered
Examples of Non-Palliative Drugs: Consider Discontinuing
Common Formulary Alternatives
Relatedness: Admission Nurse’s Role
Relatedness: Medical Director’s Role
Relatedness: IDG Role
Determination of Hospice Medication Coverage
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
More Documentation Examples
Documenting Related, But Not Covered
Step 8
Case Example: Mrs. G.
Assessing Terminal Prognosis
Related Co-Morbidities
Related Secondary Conditions
Determining Relatedness
Mrs. G’s Med Profile
Four Buckets of Medication “Relatedness”
Medication Review Summary
Summary of Coverage Responsibility
Best Practices
Resources and Links
Contact Information
Terri Maxwell, PhD, APRN, is Chief Clinical Officer of Turn-Key Health, a division of Enclara Pharmacia. A frequent presenter at state and national meetings, Terri is a well-published author on a range of palliative care topics. She obtained her BSN from the University of Rhode Island and a Masters Degree and PhD in Nursing from the University of Pennsylvania. Disclosure: Terri Maxwell, PhD, APRN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.